Healthcare Provider Details

I. General information

NPI: 1619164829
Provider Name (Legal Business Name): ALFREDO C. RAMIREZ, MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2007
Last Update Date: 02/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8684 E SEMPLE STREET
TUCSON AZ
85747
US

IV. Provider business mailing address

P.O. BOX 15399
TUCSON AZ
85708
US

V. Phone/Fax

Practice location:
  • Phone: 520-663-0688
  • Fax: 520-663-0690
Mailing address:
  • Phone: 520-663-0689
  • Fax: 520-663-0690

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number12694
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number12694
License Number StateAZ

VIII. Authorized Official

Name: DR. ALFREDO C. RAMIREZ
Title or Position: SOLE OWNER
Credential: MD
Phone: 520-663-0688